| NPI | 1477375145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95034438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 60911142) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2026-02-19 |